Active NPI
Christian Recovery Counseling
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1992161350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 00011043
- Legal business name
- CHRISTIAN RECOVERY COUNSELING
- Practice address
- 330 112TH Ave NE, Ste 302
Bellevue, WA 98004 - Phone
- (425) 289-9589
- Fax
- (425) 576-0654
- NPI assigned
- Jan 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher A Chandler, MA, LMHC
- Title
- Member Manager
- Phone
- (425) 289-9589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 00011043 | WA | Primary |
Addresses
Primary practice location
330 112TH Ave NE, Ste 302
Bellevue, WA 98004
Mailing address
2820 Northup Way
Ste 105
Bellevue, WA 98004
Phone (425) 289-9589
National Provider Directory
National Provider DirectoryLocations
2820 Northup Way
Ste 105
Bellevue, WA 98004
Phone (425) 822-8153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452729600000",
"number": "1992161350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 NORTHUP WAY",
"address_2": "STE 105",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-289-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 112TH AVE NE, STE 302",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-289-9589",
"fax_number": "425-576-0654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN RECOVERY COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A",
"authorized_official_last_name": "CHANDLER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "14252899589",
"authorized_official_credential": "MA, LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 00011043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.